INFECTIONS - PEARLY

-DOME-SHAPED PAPULES with a DIMPLED

LOWER GENITAL TRACT CENTER
-PAPULES(1-5MM in dm)
 HSV(HERPES SIMPLEX VIRUS)- DNA -central waxy core contains cells w/
VIRUSES CYTOPLASMIC VIRAL INCLUSIONS
 Comon
 Order of frequency  FUNGAL INFECTIONS ( esp. caused by
-cervix, vagina,vulva YEAST- CANDIDA- EXTREMELY COMMON)
 2 SEROTYPES
A. HSV1-oropharyngeal infection  DEVELOPMENT OF SYMPTOMATIC
B. HS2- genital mucosa and skin; 40 yrs CANDIDIASIS- disturbance in the vaginal microbial
old(30% are seropositive for Ab against ecosystem.
HSV2  S/sx:
 LESIONS- develop 3-7 days -vulvovaginal pruritus
 TRANSMISSION- during ACTIVE -erythema;
PHASE(may occur in the latent phase) -swelling;
 CONDOMS & ANTIVIRAL THERAPIES- -curdlike vaginal discharge
Reduce the risk. DO NOT PREVENT IT Severe: MUCOSAL INFECTION
 GRAVEST CONSEQUENCE: HSV  DIAGNOSIS:(WET KOH mounts/ PAP
INFECTION TRANSMISSION TO THE NEONATE DURING smear)
BIRTH -PSEUDOSPORES
RISK: INFECTION IS ACTIVE DURING DELIVERY -FILAMENTOUS FUNGAL HYPHAE
(PRIMARY/INITIAL INFECTION IN THE MOTHER)-  NOT CONSIDERED STD
CESAREAN SECTION
 HSV-2 INFECTION ENHANCES HSV1  TRICHOMONAS VAGINALIS
ACQUISITION AND TRANSMISSION  STRAWBERRY CERVIX- marked dilation
 DIAGNOSIS: Biopsy:epithelium of cervical mucosal vessels
desquamated ; smear: cytoplasmic changes-  GARDNERELLA VAGINALIS
multinucleated squamous cells containing eosinophilic  Causes BACTERIAL
to basophilic viral inclusions “GROUND-GLASS VAGINOSIS(VAGINITIS)
APPEARANACE” IMPLICATION: PREMATURE LABOR
 PRIMARY,ACUTE PHASE: NO SERUM  UREAPLASMA UREALYTICUM &
ANTI-HSV AB MYCOPLASMA HOMINIS
 RECURRENT/LATENT PHASE:  IMPLICATONS:
DETECTION OF ANTI-HSV AB IN THE SERUM CHORIOAMNIONITIS;PREMATURE DELIVERIES
 NO EFFECTIVE TX FOR LATENT HSV-  CHLAMYDIA TRACHOMATIS
ACYCLOVIR/FAMCICLOVIR- shorten the length of the  CERVICITIS
INITIAL/RECURENT SYMPOMATIC PHASE
 ULTIMATE SOLUTION: EFFECTIVE
VACCINE LOWER AND UPPER GENITAL TRACT

VIRUS,FUNGI and BACTERIA  PELVIC INFLAMMATORY DISEASE

 MOLLUSCUM CONTAGIOSUM  N.GONORRHEA- MOST COMMON
 Skin/ mucosal lesions caused by CAUSE
POXVIRUS
 FOUR-TYPES
A. MCV-1 - MOST PREVALENT
B. MCV-2 - MOST OFTEN SEXUALLY TRANSMITTED
 COMMON AGE: YOUNG
CHILDREN(2-12 Y.O)
 MOT: Direct contact/ Shared articles
(towels)
 MOST COMMON AFFEXTED SKIN
AREAS: Trunk, arms and legs
 IP: 6 weeks
 DIAGNOSIS:
Clinical appearance:

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